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From: 08/21 7 17:07 #729 P.001/001 <br /> 2094640138 ENUIROWENTAL HEALTH PAGE 01/01 <br /> It Efit}LOG NUMeEFZ <br /> SAN JOAQUIN COUNTY <br /> AUG 2 2 2007 is ENVIRONMENTAL R_ Oft A 01% <br /> V 0 <br /> 600 East Main Strcet,Stockton,CA 43202 Ar I <br /> ENVIRONMENT HEA!T+elephonte.(209)468.3420 Fax:(203)464-0138 Wein:www.sjg4v,o <br /> PERMIT/SERVICES <br /> / PUBLIC ]RECORDS RELEASE APPLICATION <br /> APPLICANT: U_ BUSINESSIAGENCY! <br /> ADDRESS: 0, 1 1 (� t 66t Q / <br /> PHONE(9):_zo,� >.� / � 2): �i .?33-- D `0 z <br /> TENTATIVE*APPMTMENT DATE: Time: <br /> (Plaaso allow iD busIrw4(14%fr*M date of application submittal,'°TentaD've only-must be confirm-eca 19 <br /> CNECK Box TO EXPEorre ReatjES SB D FEE( N O CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SICC;+ TlIi2E OF APPLICANT DATE , <br /> Z� <br /> Electronic information, C]List❑Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Wr eet Namecity 1 ❑ unit i <br /> � <br /> LP'sA+_e_1101 <br /> 7(-0 r C62. '6e, ® unit z <br /> ` — 4 p� I'r�- s'A6 ( pf y bt e a unit <br /> Unit b <br /> Q 51 <br /> J `U _ i�'t c-� to C ^CJ ' D ( ' © unit F <br /> T2s �-�.:t��. �N G ( �vt , ..� <br /> Specifiie Data Range of information Requested:From to <br /> � ENVIRONMENTAL HEALTH DEPARTMENT FI S <br /> UNDERt IMM TANK(UST)CLemuP SITE(LOP) ❑HousING ABATEMENTkITE <br /> D WASTE FAGLI s <br /> DERCLEANUP NKITE MCNIT011P) ❑Foc umNofFACLIT' SPECIm— <br /> WELL <br /> TlR6 <br /> t,hlDER6RGUND TANx(MONITQRR1fat(iEMOVAL) ❑t3ao ICENN64 DAIRY <br /> ®HAZARCOUS WASTE GENERATOR ©CHICKEN 13 WASTEWATER TREATMENT PLANT <br /> c _ O TIERED PrummTEo FAoiuTTY Q MoTELIH G7 PUMP&R T=K1YAROICHEM ToiLm <br /> �6X 0 TATT00/13COY PIERCING 13 PcouspL]LAND USE APpuCATIbN SITES <br /> \\ 0 MEDICAL WASTE PACIUTY a Grim(PAND SIFFITIC PERWRECORDS ARE AVAILABLE FOR REVIEW.MONDAY-FRIDAY S.D0 FAm-&fi0Pu - EXCLUDING HOWDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(es). At least one filo type MUST be selected. e address indicated above. Address <br /> ranges will not be accepted–for additional assistance with file addrOMS,contact the EMD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The FFD will notify the applicant if any EHD files exist An appointment for roviaW will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review, Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. A new application may be <br /> submitted whan the file is available. <br /> 4. Any file not retumed in the same,condition as released will be reafoanized by END staff at the expense of the appileent. <br /> Future file reviews by the game ppplicant may require a$95.00 deposit prior to review. <br /> END USE ONLY <br />